Rental Application – AfHousing

Rental Application Form

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Name

First

Last

Date Of Birth

Phone

Social Security Number

Driving License Number

Employment History:

Current or Most Recent Employer

Position

Length Of Employment

Monthly Salary

Supervisor Name

First

Last

Rental History:

Present Address

Address Line 1

Address Line 2

City

State

Zip Code

Move In Date

Move Out Date

Amount Paid Monthly

Landlord or Company Name

Landlord Phone Number

Reason for Leaving

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Move In Date

Move Out Date

Amount Paid Monthly

Landlord or Company Name

Landlord Phone Number

Reason for Leaving

If "other" please explain:

Personal References:

Reference #1 Full Name

First

Last

Relationship to Applicant

Phone Number

Reference #2 Full Name

First

Last

Relationship to Applicant

Phone Number

Other Information:

Pets (please describe)

Vehicles to be parked on premises

Make/Model/Year/License number

In the past, have you been delinquent in paying rent or other financial obligations? If yes, please explain:

In the past, have you failed to perform any obligations of a rental agreement or have you been a defendant in an eviction lawsuit? If yes, please explain:

Terms & Conditions:

The information on this application is true and correct to the best of my knowledge. I hereby authorize to verify the above information and obtain consumer or investigative credit report, criminal background report, and/or eviction records.

I Agree

Price

Price: $ 50.00

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